Cardiac catheterization study report 17 Daws Rd. Blue Bell MA 02368 US Mr. Adam Frankie Everyman Good Health Clinic 17 Daws Rd. Blue Bell MA 02368 US 1001 Hospital Lane Ann Arbor MI 99999 US Dr. Tony Tum Referring Physician Lane, USA Dr. Referring Physician My Favorite Cardiac Care Organization Healthcare Lane East Town OH US
CATH PROCEDURE SUMMARY Successful deployment of Left Atrial Appendage Occluder. There were no complications Patient was then transferred to the CICU for post-operative management.
MEDICAL (GENERAL) HISTORY Persistent atrial fibrillation. Deviation of INR from target range. Persistent atrial fibrillation Deviation of INR from target range
Allergies No known allergies
Family history No Family History of Cardiovascular Disease There was no family history of cardiovascular disease.
Social History The patient was a former smoker.
PHYSICAL EXAMINATION All normal to examination.
Chest, physical findings Chest examination normal
Vital Signs Height: 178 cm Weight: 87.7 kg BSA: 2.06 m2 Height: 178 cm Weight: 87.7 kg BSA: 2.06 m2
Preprocedure Laboratory Results Sodium [Moles/​volume] in Venous blood: 139 mmol/L Potassium [Moles/volume] in Blood: 4.1 mmol/L Glucose: 115 mg/dL Blood urea nitrogen (Bun): 17 mg/dL Creatinine [Mass/​volume] in Blood: 0.93 mg/dL White Blood Cell Count (WBC): 5.10 10^3/uL Hemoglobin (Hgb): 14.7 g/dl Hematocrit (HCT): 43 % Platelets: 141 X10^9 Prothrombin time (PT): 13.9 sec Partial thromboplastin time (PTT): 28 International normalized ratio (INR): 1.1
Planned Procedure Occlusion of Left Atrial Appendage, Percutaneous Approach.
Procedure Indications Persistent atrial fibrillation. Deviation of INR from target range.
Procedure Anesthesia General anesthesia, please see separate anesthesiologist report.
Medications Administered 09:17 AM Aspirin PO 325 mg delivered prior to general anesthesia Please refer to anesthesiologist report for all other medications 09:17 AM Aspirin PO 325 mg delivered prior to general anesthesia Aspirin PO 325 mg Bayer Community Health and Hospitals
Procedures 6F sheath: Right femoral vein. ProGlide deployed 18F DrySeal sheath: Right femoral vein Atrial septal puncture performed WATCHMAN 12F Double Curve Access Sheath via right femoral vein Baseline mitral measurements WATCHMAN 12F 30mm Delivery System with Device via right femoral vein Postprocedure ultrasound measurement WATCHMAN delivery system removed over wire Perclose x2 deployed: right femoral artery
Procedure Specimens Taken None
PROCEDURE DISPOSITION The patient was taken to the CICU Recovery Unit in stable condition.
LAAO Procedure Results Baseline Baseline Left Atrial Mean Pressure: 23 mmHg Baseline Left Atrial V-Wave: 27 mmHg Post Procedure Post-Procedure Left Atrial Mean Pressure: 22 mmHg Post-Procedure Left Atrial V-Wave: 25 mmHG Baseline Left Atrial Mean Pressure: 23 mmHg Baseline Left Atrial V-Wave: 27 mmHg Post-Procedure Left Atrial Mean Pressure: 22 mmHg Post-Procedure Left Atrial V-Wave: 25 mmHG
Complications Postoperative hematoma formation. Postoperative hematoma formation
Postprocedure Diagnosis Successful deployment of a 33 mm Left Atrial Appendage Occluder Normal left atrial filling pressures
Plan of Care Transfer patient to CICU for post-operative management.